MEDICARE: DR. BENJAMIN NEIL GROSS PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26996	TN

General Provider Information

NPI Number	:	1154494235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN NEIL GROSS PHARM.D.

Provider Business Mailing Address
First Line	:	1 UNIVERSITY PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3956
Country	:	US
Telephone Number	:	270-366-3976
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3956
Country	:	US
Telephone Number	:	615-966-7195
Fax Number	:	615-966-7163

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/20/2013

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